Provider Demographics
NPI:1194776880
Name:OISHI, CALVIN S (MD)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:S
Last Name:OISHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1247 KAAHUMANU STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-484-2042
Mailing Address - Fax:808-487-8324
Practice Address - Street 1:98-1247 KAAHUMANU STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-484-2042
Practice Address - Fax:808-487-8324
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD7926207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03655203Medicaid
HI03655204Medicaid
HI03655204Medicaid
HI55230Medicare ID - Type UnspecifiedMC GROUP #
HI03655203Medicaid